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His condition is serious especially the blood int eh stool. Ideally, the decision to want to quit must come from the addict himself. In this case, there is a danger to his life if he continues, and therefore the decision must be made by responsible others. If this is difficult for you, do get the counsel and help of an elderly relative whom he respects and let him do the convincing. If he does not cooperate, then take the decision and call in the rehabilitation center to just take him away. He may be what people refer to as an addict on âskid rowâ i.e. Only death can stop him â 20% of alcoholics are on skid row, world over. Knowing that someone else responsible has to make that decision for him and will do him the favor of a life-saving course of action, do so without any hesitation. Do not feel any guilt about doing this because you will surely save his life, and perhaps his health. If he wants to and is willing, he can get out of the addiction to alcohol with support. If he thinks he can do it from home, that I agree, may be very difficult. He has developed dependence and tolerance, two factors that work together, to increase our need for the substance and to need more of it for the same pleasure, over time. These effects condition us psychologically and physically, that giving up appears to be a very difficult task. That is why detoxification is recommended for chronic cases to eliminate the physical craving, at least, to start the process of relatively easier recovery. First, it is important to identify why one drinks: it usually has something to do with suppressing some deep-rooted pain. Then you can admit him for detoxification. Get thorough knowledge about the habit, about alcohol, and its mechanisms. Let him attend AA meetings, and since his case is very serious, admit him into a rehabilitation center for at least 6 months. The desire to want to quit is perhaps the most important condition. Giving up the habit is not easily done by oneself: he will need the support and help of a good group and therapist. By the way, he may have many relapses but he should never give up. His perseverance is the key. And the help of your family is absolutely essential to a good resolution. He needs to develop new habits and find new ways of gratification etc. All in all, he needs to be able to abstain from alcohol for at least three years to know that he is relatively safe from alcoholism. There is another drive called the Script Drive, which needs elaborate explanations. After the rehabilitation, if he still finds the urge too strong, then he can be prescribed disulfiram that will cause from mild to severe reaction and sometimes even hospitalization if he even consumes a tiny amount. Compliance to the prescription is the key for this success.

When should a patient consult a Rheumatologist?If the patient is suffering from any of the below symptoms, he might be having Rheumatic Diseases.• Joint pains and swellings• Severe joint pains and stiffness in the morning• Severe back pain and stiffness in the morning• Unexplained generalized body pains • Recurrent mouth ulcers/hair loss• Dryness of mouth/eyes,red rashes on cheeks• Recurrent heel pains• Prolonged unexplained fevers after detailed work up by physicians• Wounds on skin not healing over a period of time referred by a surgeon and physician,Persistent problems regarding abortions referred after primary work up by a gynaecologist,Recurrent uvietis after primary work up by an ophthalmologist,Unexplained pulmonary renal syndromes at primary care level.

It is important to see a Rheumatologist, who has the training and experience to diagnose various forms of inflammatory arthritis • when the initial diagnosis is in doubt• to pick up and manage extraarticular manifestations like vasculitis, eye involvement, pleuropulmonary involvement, lymphadenopathy etc in rhematoid arthritis• arthritis not controlled by traditional DMARDS• connective tissue disorders like SLE, sjogrens syndrome, systemic sclerosis, mixed and undifferentiated connective tissue disorders etc • Vasculitidis and other rare autoimmune diseases.

Hi back pain usually occurs due to prolonged sitting in a bad posture hence the pressure on the back increases and you get back pain as your muscle don't support any undue pressure so for this now you can start with a hot packs for ten minutes twice a day and also start strengthening your core muscles.

Hello lybrate user, it is possible that you might have sustained a soft tissue injury in your knee joint which was missed at the time of trauma when only bony injuries were investigated for. If you still have regular pains then I would suggest you get an mri done for the same. You could also consult an orthopaedic surgeon for a detailed clinical evaluation. You might also need to undergo arthroscopic examination of the knee joint if one is not able to reach a diagnosis with an mri. Hope this helps.

Lybrate-user brother you have asked question which is well described that's good such type of pain is more than usually associated with eruption of third molar please visit a doctor which can take a xray after which he can see if you have correctly erupted third molar xray is just cost you 50-100 rs only.

Rotator Cuff Injury is usually caused by an acute injury such as lifting weights or sudden jerk due to fall on outstretched hand. Chronic wear and tear leads to degeneration of the tendon which can further cause Rotator cuff tear. One can experience acute pain, a snapping sensation and an immediate weakness of the arm if the cause of the rotator cuff tear is an injury. Rotator cuff tear can be treated non-surgically with the use of anti-inflammatory medication, steroid injections, and physical therapy.

If the pain and weakness in the arm caused by rotator cuff tear persists, despite the conservative treatment, surgery is recommended. Post Rotator Cuff repair surgery, it is normal to experience pain and stiffness in the initial 4-6 weeks after surgery.

It requires detailed investigation and examination.
Preliminary investigations suggested:
hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d
urine r/e
x-ray of the affected part.
Anyway it may be tried
sleep on a hard bed with soft bedding on it.
Spring beds, folding beds or thick mattress are harmful
use no pillow under the head.
Do hot fomantation
paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it.
Let it not become beginning of a bigger problem.
Make sure that patient is not allergic to any of the medicines that he/she is going to take.
If it does not give relief in 4-5days, inform.

BACK ACHE
sleep on a hard bed with soft bedding on it. (b) use no pillow under the head. (c) kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days (d) do back (spine)/shoulder/knee exercises (e) make sure you are not allergic to any of the medicines you are going to take (f) do not ignore it. It could be beginning of a serious problem. (g) if no relief in 4_5 days, then contact me again
use lacrimose eye drop daily 5-6 time

Requires detailed investigation and examination
Presently investigations suggested:
hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d
xray of the affected part.
Anyway you may try
sleep on a hard bed with soft bedding on it.
Spring beds, folding beds or thick mattress are harmful
use no pillow under the head
do hot fomentation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it.
Let it not become beginning of a bigger problem.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, inform.

Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.